212例儿童脑囊虫病患者的临床及影像学分析  

Clinical and Imaging Analysis of Children with Cerebral Cysticercosis

作　　者：王中磊[1] 戴伟[1] 马巧荣[1] 刘玉磊[1] 胡颖新[1] 

机构地区：[1]山东省寄生虫病防治研究所,山东济宁272033

出　　处：《地方病通报》2004年第3期41-42,共2页Endemic Diseases Bulletin

摘　　要：目的探讨儿童脑囊虫病的临床特点及CT特征。方法对 2 12例儿童脑囊虫病患者的临床表现和CT资料进行统计分析。结果儿童脑囊虫病患者主要通过使用被绦虫卵污染的饮食而感染。发病年龄集中在 8～ 11岁 ,农村高于城镇。临床上以癫痫发作和头痛为主。CT异常率为 82 .5 %,主要表现为片状和圆形的低密度影和少量的高密度影。经 2～ 4个疗程的抗囊治疗后 ,2 12例患儿疗效均达到治愈标准。有 12 8例患者复查了头颅CT ,其中 12 6例 ( 98.4%)患者的低密度影消失 ,2例 ( 1.6%)转化为点状钙化。结论儿童脑囊虫病患者以异体感染为主 ,癫痫发作和头痛是其主要临床表现 ,抗囊治愈率为 10 0 %。Objective To explore the characteristics of clinical and CT of children with cerebral cysticercosis. MethodStatistical analysis of clinical and CT data were carried out in 212 children with cerebral cysticercosis. ResultChildren with cerebral cysticercosis were infected by edible food and drink of polluted by cestode eggs. The children of 8～11 years took the majority, and the infective rate at countryside was higer than that in towns and cities. The major manifestations of children cerebral cysticercosis were epileptic seizures and headache.The abnormal rate of CT was 82.5% in all patients, and flaky and circular focus were chief manifestations. The results showed that after patients were treated for 2～4 courses, and the cure rate of 212 children with cerebral cysticercosis was 100%. 128 patients were checked by CT, and that focus was disappeared on CT in 126 cases(98.4%) and 2 cases (1.6%) calcified respectively. ConclusionThe children with cerebral cysticercosis were infected by primary factors of hetero-bodies, and the epileptic seizures and headache took the majority. CT played an important role in diagnosis and the treatment of children with ccerebral cysticercosis.

关 键 词：儿童 脑囊虫病 临床 影像学 

分 类 号：R532.33[医药卫生—内科学]